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目的探讨漯河市十年来结核病的流行特征,为结核病防治对策制定提供科学依据。方法用Excel和SPSS17.0对2007-2016年漯河市结核病登记资料进行描述性流行病学统计分析。结果 2007-2016年共登记肺结核患者18 407例,年均登记率71.62/10万;新涂阳肺结核5 937例,年均登记率23.06/10万。以2011年结核病患者登记率最高,然后呈现持续下降趋势;男性高于女性,性别比为2.15:1;年龄分布集中在15~74岁组,占全年龄病例总数的86.35%;职业分布以农民最多,其次为工人和学生,共占病例总数的93.79%;地区分布中前两位分别为召陵区和郾城区,占病例总数的22.87%和22.56%;结核患者来源构成:综合医院转诊40.81%,病人因症就诊45.00%,结核病专业防治机构追踪4.32%。结论十年来漯河市结核病疫情总体趋于平稳,但防控任务依然繁重,应加强高危人群和高发地区结核病人的发现、追踪、治疗和管理工作。
Objective To explore the epidemiological characteristics of tuberculosis in Luohe city for ten years and provide a scientific basis for the development of tuberculosis prevention and control measures. Methods Excel and SPSS17.0 descriptive epidemiological analysis of 2007-2006 data of tuberculosis registration in Luohe City. Results A total of 18 407 cases of tuberculosis were registered in 2007-2016, with an average annual registration rate of 71.62 / 100 000; and 5 937 cases of new smear-positive pulmonary tuberculosis with an average annual enrollment rate of 23.06 / 100 000. In 2011, TB patients registered the highest rate, then showed a downward trend; men than women, the sex ratio was 2.15: 1; the age distribution concentrated in the 15 to 74 age group, accounting for 86.35% of the total number of cases; Followed by workers and students, accounting for 93.79% of the total number of cases; the first two places in the distribution are respectively Zhaoling District and Tancheng District, accounting for 22.87% and 22.56% of the total number of cases; Source of TB patients: General Hospital referral 40.81%, 45.00% of patients treated for illness, and 4.32% of TB professional prevention and treatment institutions tracked. Conclusion The overall outbreak of tuberculosis in Luohe City has tended to be stable over the past decade, but the prevention and control tasks are still heavy. The work of finding, tracing, treating and managing tuberculosis patients in high-risk areas and areas with high incidence should be strengthened.